低频脉冲联合穴位手法护理对腹直肌分离患者的干预效果

Effect of low-frequency pulse combined with acupoint manipulation on the intervention of patients with rectus abdominis muscle separation

目的探讨在腹直肌分离患者的临床护理中开展低频脉冲联合穴位手法干预的临床效果。方法选择2020年1月—2022年9月医院收治的腹直肌分离(DRA)患者60例,按照组间基线资料可比的原则分为对照组和观察组,各30例。对照组患者在常规护理的基础上实施低频脉冲电刺激,观察组在对照组的基础上联合穴位手法按摩干预,两组均持续干预1个月。比较两组腹直肌及腰围恢复情况、腰背部疼痛、生活质量及患者对护理的满意程度。结果护理干预前,两组患者腹直肌、腰围恢复情况、腰背部疼痛、生活质量比较,差异无统计学意义(P>0.05);护理干预后,观察组患者DRA距离、脐围、脐上围、脐下围均短于对照组,腰背部视觉模拟评分法(VAS)评分低于对照组,生活质量综合评定问卷(GQOLI-74)中躯体功能、心理功能、社会功能、物质生活状态评分均高于对照组,差异有统计学意义(P<0.05);观察组患者对护理满意程度高于对照组,差异有统计学意义(P<0.05)。结论低频脉冲联合穴位手法能够有效减轻DRA患者腰背部疼痛,促进腹直肌恢复,改善生活质量,提高患者满意度。

Objective To explore the clinical effect of low-frequency pulse combined with acupoint manipulation intervention in the clinical care of patients with rectus abdominis muscle separation.Methods 60 patients with diastasis recti abdominis(DRA)admitted to the hospital from January 2020 to September 2022 were selected and divided into a control group and an observation group of 30 patients each according to the principle of comparable baseline data between groups.In the control group,low-frequency pulsed electrical stimulation was implemented on the basis of routine care,and in the observation group,acupoint manipulation massage was combined on the basis of the control group,and both groups continued to intervene for 1 month.Comparison of the two groups of rectus abdominis and waist circumference recovery,low back pain,quality of life and patient satisfaction with care.Results Before the nursing intervention,there was no statistically significant difference between the two groups in terms of rectus abdominis muscle and waist circumference recovery,low back pain and quality of life(P>0.05),after the nursing intervention,patients in the observation group had a shorter DRA distance,umbilical circumference,supra-umbilical circumference,and infra-umbilical circumference than those in the control group,and their Visual Analogue Scoring(VAS)scores for the low back were lower than those of the control group,and the comprehensive quality of life questionnaire(GQOLI-74)was shorter than the control group in terms of somatic function,mental function,and psychological function.The scores of somatic function,psychological function,social function and material life status in the GQOLI-74 were higher than those of the control group,and the difference was statistically significant(P<0.05),the patients'satisfaction with nursing care in the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Low-frequency pulse combined with acupoint manipulation could effectively reduce the low back pain of DRA patients,promote the recovery of rectus abdominis muscle,improve the quality of life,and increase patient satisfaction.